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V305

V305V305

OHIP Other Code · Schedule of Benefits

When to Use

  • Use V305 for the initial assessment of a patient presenting with a specific minor illness or injury that does not meet the complexity requirements of a K030 or K031 assessment.
  • Apply this code when providing a brief, focused consultation for a single acute issue where a full physical examination is not required or performed.

Common Pitfalls

  • Billing V305 in conjunction with a comprehensive assessment code like A007 on the same day will trigger an automatic rejection for duplicate service.
  • Using V305 for chronic disease management is inappropriate; use K030 or K031 instead to ensure proper compensation for time-based complexity.

Billing Tips

  • Ensure the clinical note clearly distinguishes the minor nature of the visit to justify the lower fee compared to a standard office visit code like A007.
Provider Fee$16.40

Effective: February 1, 1990

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